CONCORD HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-06-25
IRS object ID
201821769349300962
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-06-25T14:00:38-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222594672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONCBusinessNameControlTxt
Phone6032284677PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonScott SloanePersonNm
Person TitleSenior VP, CFO, & TreasurerPersonTitleTxt
Phone6032284677PhoneNum
Signature2018-04-30SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone2078792100PhoneNum
Preparation2018-04-30PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert P SteigmeyerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$563,648,941GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.concordhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionHospitalActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee3940TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$2,086,150TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$898,151NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,971,807PYContributionsGrantsAmt
CY Contributions Grants$4,759,894CYContributionsGrantsAmt
PY Program Service Revenue$454,166,541PYProgramServiceRevenueAmt
CY Program Service Revenue$490,926,175CYProgramServiceRevenueAmt
PY Investment Income$27,684,561PYInvestmentIncomeAmt
CY Investment Income$9,212,215CYInvestmentIncomeAmt
PY Other Revenue$374,717PYOtherRevenueAmt
CY Other Revenue$360,563CYOtherRevenueAmt
PY Total Revenue$487,197,626PYTotalRevenueAmt
CY Total Revenue$505,258,847CYTotalRevenueAmt
PY Grants And Similar Paid$293,077PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$294,700CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$262,280,773PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$275,652,996CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$186,380,833PYOtherExpensesAmt
CY Other Expenses$201,355,745CYOtherExpensesAmt
PY Total Expenses$448,954,683PYTotalExpensesAmt
CY Total Expenses$477,303,441CYTotalExpensesAmt
PY Revenues Less Expenses$38,242,943PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,955,406CYRevenuesLessExpensesAmt
Total Assets BOY$519,420,194TotalAssetsBOYAmt
Total Assets EOY$562,669,503TotalAssetsEOYAmt
Total Liabilities BOY$271,871,191TotalLiabilitiesBOYAmt
Total Liabilities EOY$242,554,355TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$247,549,003NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$320,115,148NetAssetsOrFundBalancesEOYAmt
MissionConcord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$395,287,355ExpenseAmt
Grant$294,700GrantAmt
Revenue$489,216,219RevenueAmt
DescVarious hospital services; see Schedule HIn FYE 2017, Concord Hospital invested more than $76 million for community benefit programs, services, and other expenses. The largest areas of support were charitable care services, medical education and subsidized programs and services. Our investment enhances the Hospital's ability to provide quality patient care, respond to identified community health needs and address the Hospital's charitable mission overall.Desc
Total Program Service Expenses$395,287,355TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document227IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3940EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott Sloane Senior VP CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6032277000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP033017539ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Valerie Acres Esq
Trustee1.001.00Yes (X)$0$0$0
Frederick Briccetti MD
Trustee1.000.00Yes (X)$0$0$0
Michelle Chicoine
Trustee1.000.00Yes (X)$0$0$0
Peter Noordsij MD
Trustee1.000.00Yes (X)$0$0$0
Muriel Schadee CPA
Trustee1.004.10Yes (X)$0$0$0
Robert Segal
Trustee1.001.00Yes (X)$0$0$0
David Stevenson MD
Trustee50.001.00Yes (X)$247,631$0$54,321
Robert Thomson MD
Medical Staff President1.000.00Yes (X)$0$0$0
Jeffrey Towle
Trustee1.002.00Yes (X)$0$0$0
Philip Boulter MD
Trustee1.005.10Yes (X)$0$0$0
Peter Cook
Trustee1.000.00Yes (X)$0$0$0
Philip Emma
Trustee1.000.00Yes (X)$0$0$0
Manisha Patel DDS
Trustee1.000.00Yes (X)$0$0$0
Claudia Walker
Trustee (end 1/17)1.001.00Yes (X)$0$0$0
David Ruedig
Chair1.005.10Yes (X)$0$0$0Yes (X)
Sol Asmar
Vice Chair1.003.00Yes (X)$0$0$0Yes (X)
William Chapman Esq
Secretary1.001.00Yes (X)$0$0$0Yes (X)
Mary Boucher
Secretary (end 1/17)1.001.00Yes (X)$0$0$0Yes (X)
Robert P Steigmeyer
President & CEO55.005.10Yes (X)$838,660$0$180,041Yes (X)
Bruce R Burns
Treasurer (end 11/16)55.005.10$416,138$0$53,016Yes (X)
Scott Sloane
Senior VP/CFO & Treasurer55.005.10$279,637$0$61,260Yes (X)
David Green MD
Senior VP/Chief Medical Officer50.000.00$521,100$0$68,726Yes (X)
Timothy P Jones
Senior VP/Chief Operating Officer50.000.00$496,570$0$21,218Yes (X)
Gerald Sardella MD
Physician50.000.00$595,541$0$50,878Yes (X)
Todd Burdette MD
Physician50.000.00$567,679$0$61,564Yes (X)
Wayne K Stadelmann MD
Physician50.000.00$484,548$0$68,790Yes (X)
Charles Wicks MD
Physician50.000.00$462,072$0$41,388Yes (X)
Adam Chodosh MD
Physician50.000.00$524,015$0$43,225Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,433,591TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$704,427TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K432IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Concord Emergency Medical Assoc
540 Lafayette RoadHamptonNH03842Physician services$9,661,637
Elliot Hospital
1070 Holt Avenue Suite 2100ManchesterNH03109Healthcare services$1,878,103
ARUP Laboratories
PO Box 27964Salt Lake CityUT84127Laboratory Services$1,747,181
Angelica
PO Box 535122AtlantaGA303535122Laundry Services$1,241,683
Workday Inc
PO Box 396106San FranciscoCA941396106IT Consulting$1,201,300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K36CntrctRcvdGreaterThan100KCnt
Related Organizations$4,759,894RelatedOrganizationsAmt
Total Contributions$4,759,894TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service621400$468,105,168$468,105,168
Disproportionate Share Funding621400$12,717,088$12,717,088
Other Operating Revenue621400$5,785,886$4,836,142$949,744
Food Services722210$3,982,577$2,861,802$1,120,775
ARRA-HI-TECH621400$204,464$204,464

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$130,992TotalRevenueColumnAmt
Related Or Exempt Func Income$130,992RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$490,926,175TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,263,904TotalRevenueColumnAmt
Unrelated Business Revenue$15,631UnrelatedBusinessRevenueAmt
Exclusion$4,248,273ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$360,563RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$360,563RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$360,563TotalRevenueColumnAmt
Related Or Exempt Func Income$360,563RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$63,338,405SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$58,231,901SecuritiesAmt
Other$158,193OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,106,504SecuritiesAmt
Other-$158,193OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,948,311TotalRevenueColumnAmt
Exclusion$4,948,311ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$505,258,847TotalRevenueColumnAmt
Related Or Exempt Func Income$489,216,219RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,086,150UnrelatedBusinessRevenueAmt
Exclusion$9,196,584ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$294,700TotalAmt
Program Services$294,700ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,238,318TotalAmt
Program Services$689,617ProgramServicesAmt
Management And General$2,548,701ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$216,276,471TotalAmt
Program Services$179,334,641ProgramServicesAmt
Management And General$36,941,830ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,958,190TotalAmt
Program Services$11,682,186ProgramServicesAmt
Management And General$2,276,004ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,449,302TotalAmt
Program Services$22,602,327ProgramServicesAmt
Management And General$4,846,975ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,730,715TotalAmt
Program Services$12,099,087ProgramServicesAmt
Management And General$2,631,628ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,469,580TotalAmt
Program Services$224,567ProgramServicesAmt
Management And General$1,245,013ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$360,220TotalAmt
Management And General$360,220ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$209,250TotalAmt
Management And General$209,250ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$78,816TotalAmt
Management And General$78,816ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$793,767TotalAmt
Management And General$793,767ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,779,397TotalAmt
Program Services$17,232,825ProgramServicesAmt
Management And General$4,546,572ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$213,200TotalAmt
Program Services$73,647ProgramServicesAmt
Management And General$139,553ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,270,435TotalAmt
Program Services$6,727,074ProgramServicesAmt
Management And General$2,543,361ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,965,588TotalAmt
Program Services$4,474,796ProgramServicesAmt
Management And General$7,490,792ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,724,692TotalAmt
Program Services$8,777,292ProgramServicesAmt
Management And General$3,947,400ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$329,043TotalAmt
Program Services$179,785ProgramServicesAmt
Management And General$149,258ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$884,836TotalAmt
Program Services$757,007ProgramServicesAmt
Management And General$127,829ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,916,421TotalAmt
Program Services$2,041,495ProgramServicesAmt
Management And General$874,926ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,746,141TotalAmt
Program Services$15,922,299ProgramServicesAmt
Management And General$6,823,842ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,043,423TotalAmt
Program Services$6,043,423ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical/Surgical Suppli$58,196,516$58,196,516
Medicaid Enhancement Ta$20,311,207$20,311,207
Bad Debt Expense$20,039,478$20,039,478
Repairs/Maintenance$3,948,169$3,084,059$864,110

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,075,566TotalAmt
Program Services$4,499,327ProgramServicesAmt
Management And General$2,576,239ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$477,303,441TotalAmt
Program Services$395,287,355ProgramServicesAmt
Management And General$82,016,086ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,486,725BOYAmt
EOY$7,473,285EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,512,276BOYAmt
EOY$7,551,607EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,115,572BOYAmt
EOY$51,229,669EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,261,983BOYAmt
EOY$1,776,639EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,900,762BOYAmt
EOY$5,610,145EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$443,944,652LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$279,322,673LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$142,902,747BOYAmt
EOY$164,621,979EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$142,874,766BOYAmt
EOY$139,912,923EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$117,268,117BOYAmt
EOY$151,507,173EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,854,804BOYAmt
EOY$7,842,554EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,242,442BOYAmt
EOY$25,143,529EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$519,420,194BOYAmt
EOY$562,669,503EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$56,184,600BOYAmt
EOY$69,312,072EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,969,212BOYAmt
EOY$85,323,515EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,717,379BOYAmt
EOY$87,918,768EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$271,871,191BOYAmt
EOY$242,554,355EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$247,549,003BOYAmt
EOY$320,115,148EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$247,549,003BOYAmt
EOY$320,115,148EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$519,420,194BOYAmt
EOY$562,669,503EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$27,955,406ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$24,508,881NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$20,101,858OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$30,816GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$48,000OtherActivitiesAmt
Total Lobbying Expenditures$78,816TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationConcord Hospital was a member of the American Hospital Association & New Hampshire Hospital Association in the fiscal year ended 9/30/17. A portion of the dues paid to these organizations were available for lobbying expenditures on behalf of Concord Hospital and the other member organizations in furtherance of their exempt purposes. The portions of dues used for lobbying by the American Hospital Association and New Hampshire Hospital Association were $8,715 and $22,100, respectively. Concord Hospital has hired an outside consultant to perform services to further Concord Hospital's mission. This consultant was paid $48,000 in the year ended 9/30/17.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$239,892,180BeginningYearBalanceAmt
Investment Earnings Or Losses$33,431,692InvestmentEarningsOrLossesAmt
Other Expenditures$567,561OtherExpendituresAmt
End Year Balance$272,756,311EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$232,130,222BeginningYearBalanceAmt
Contributions$1,940,394ContributionsAmt
Investment Earnings Or Losses$6,298,683InvestmentEarningsOrLossesAmt
Other Expenditures$477,119OtherExpendituresAmt
End Year Balance$239,892,180EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$243,015,224BeginningYearBalanceAmt
Contributions$1,036,824ContributionsAmt
Investment Earnings Or Losses-$9,845,448InvestmentEarningsOrLossesAmt
Other Expenditures$2,076,378OtherExpendituresAmt
End Year Balance$232,130,222EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$210,537,884BeginningYearBalanceAmt
Contributions$19,493,511ContributionsAmt
Investment Earnings Or Losses$13,878,348InvestmentEarningsOrLossesAmt
Other Expenditures$894,519OtherExpendituresAmt
End Year Balance$243,015,224EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$159,691,844BeginningYearBalanceAmt
Contributions$28,914,868ContributionsAmt
Investment Earnings Or Losses$22,620,824InvestmentEarningsOrLossesAmt
Other Expenditures$689,652OtherExpendituresAmt
End Year Balance$210,537,884EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,996OtherCostOrOtherBasisAmt
Book Value$18,996BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,477,913OtherCostOrOtherBasisAmt
Depreciation$80,142,899DepreciationAmt
Book Value$77,335,014BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,027,553OtherCostOrOtherBasisAmt
Depreciation$912,531DepreciationAmt
Book Value$3,115,022BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$243,695,033OtherCostOrOtherBasisAmt
Depreciation$198,267,243DepreciationAmt
Book Value$45,427,790BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,725,157OtherCostOrOtherBasisAmt
Book Value$38,725,157BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$164,621,979TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescAlternative InvestmentsDesc
Book Value$151,507,173BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$151,507,173TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated 3rd Party Settlements$27,382,386
Accrued Pension & Other Long-Term Liabilities$60,536,382
FieldValueIRS element (for citing)
Total Liability$87,918,768TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$541,487,651TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$24,508,881NetUnrealizedGainsInvstAmt
Other Revenue$13,097,735OtherRevenueAmt
Revenue Not Reported$37,606,616RevenueNotReportedAmt
Revenue Subtotal$503,881,035RevenueSubtotalAmt
Investment Expenses Not Incld$793,767InvestmentExpensesNotIncldAmt
Other Revenues Not Included$584,045OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,377,812RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$505,258,847TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$475,925,629TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$475,925,629ExpensesSubtotalAmt
Investment Expenses Not Incld2$793,767InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$584,045OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,377,812ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$477,303,441TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area.
Part X, Line 2:The Hospital, CRHCDC, CRHVC, CH/DHC and the Trust are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to or disclosure in the accompanying consolidated financial statements.
Part XI, Line 2d - Other Adjustments:Pension Actuarial Gain 13,097,735.
Part XI, Line 4b - Other Adjustments:Board Designated Spending 584,045.
Part XII, Line 4b - Other Adjustments:Board Designated Spending 584,045.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestments - FMV as of 9/30/17TypeOfActivitiesConductedTxt
Specific Services ProvidedNoneSpecificServicesProvidedTxt
Region Total Expenditures$65,457,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$65,457,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$65,457,000TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 3:This organization did not have an ownership of any foreign corporation that would be greater than the 10% ownership filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed.
Part IV, Line 4:The Organization meets the exception for tax-exempt organizations with respect to filing Form 8621. Form 8621 is not required to be filed for the Hospital.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served5251PersonsServedCnt
Total Community Benefit Expns$3,668,902TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,668,902NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,676,591TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,930,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,745,652NetCommunityBenefitExpnsAmt
Total Expense0.05410TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served5251PersonsServedCnt
Total Community Benefit Expns$50,345,493TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,930,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,414,554NetCommunityBenefitExpnsAmt
Total Expense0.06210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served520975PersonsServedCnt
Total Community Benefit Expns$2,788,422TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$638,451DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,149,971NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served7209PersonsServedCnt
Total Community Benefit Expns$11,372,493TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,974,584DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,397,909NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served394961PersonsServedCnt
Total Community Benefit Expns$88,504,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,184,898DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,319,769NetCommunityBenefitExpnsAmt
Total Expense0.08820TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served47PersonsServedCnt
Total Community Benefit Expns$82,623TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,623NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$752,154TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$752,154NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Persons Served923192PersonsServedCnt
Total Community Benefit Expns$103,500,359TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,797,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,702,426NetCommunityBenefitExpnsAmt
Total Expense0.10430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs56ActivitiesOrProgramsCnt
Persons Served928443PersonsServedCnt
Total Community Benefit Expns$153,845,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,728,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,116,980NetCommunityBenefitExpnsAmt
Total Expense0.16640TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,046,283BadDebtExpenseAmt
Bad Debt Expense Attributable$750,999BadDebtExpenseAttributableAmt
Reimbursed By Medicare$149,476,732ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$213,018,381CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$63,541,649MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
State License01098StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Concord HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Concord HospitalPart V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2.
Concord HospitalPart V, Section B, Line 7d: An abbreviated Community Benefits Report was included in the Hospital's annual report that was mailed to nearly 24,000 households within the communities that the Hospital serves. Additionally, an expanded report was mailed to 2,500 households. It is also available on the State of New Hampshire's DOJ website and Concord Hospital's website. The Hospital's Community Health Needs Assessment was on the Hospital's website with instructions on how to obtain a printed copy.
Concord HospitalPart V, Section B, Line 11: See attached 2016-2018 Community Benefits Action Plan to see how Concord Hospital is addressing the significant needs identified in its most recently conducted CHNA covered by this tax filing.The one need where the Hospital had limited involvement was in the area of food insecurity, although the Hospital did engage with local food banks to improve healthy choices available.
Concord HospitalPart V, Section B, Line 16j: The Hospital includes information about charitable care services in many publications that go to the community. In addition, we collaborate with many community organizations that support the underserved and low income individuals and families; our financial assistance program is well understood by those agencies who often refer people to the program. Finally, our Financial Assistance staff reach out personally to the homeless through the monthly clinic at the homeless resource center to connect them to regular medical care. Currently, the Hospital's Financial Assistance Policy is only available online in English. However, for non-English speaking patients, interpreters are provided. The Hospital is currently working to redesign their website that will incorporate a widget that will allow the Finanical Assistance Policy to be readily translated into non-English language.
Schedule H, Part V, Section B, Line 7a & 10a:The CHNA is available at the Hospital facility's website:http://www.concordhospital.org/about/community-benefits/ Implementation Strategy:http://www.concordhospital.org/app/files/public/811/CBP-Plan.pdf as well as the most recent Plan available online:https://giveto.concordhospital.org/file/2016-2018-Community-Benefits-Action-Plan.pdf
Schedule H, Part V, Section B, Line 16b:The Hospital's Financial Assistance Policy, Application, and Plain Language Summary can be found onlne at:www.concordhospital.org/patients-visitors/patient-financial-services/financial-assistance/
FieldValueIRS element (for citing)
Facility56FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Capital Orthopaedic Srgry Ctr-Concord
264 Pleasant StreetConcordNH03301Outpatient Surgery
2 - Concord Imaging Center
248 Pleasant Street Suite 106ConcordNH03301Imaging Services
3 - Concord Hospital Cardiac Associates
246 Pleasant Street Suite 103ConcordNH03301Outpatient Physician Services
4 - Center for Urologic Care
246 Pleasant Street Suite G2ConcordNH03301Outpatient Physician Services
5 - Concord Ambulatory Surgery Center
60 Commercial Street Suite 301ConcordNH03301Outpatient Surgery
6 - Concord Endoscopy Center
60 Commercial StreetConcordNH03301Outpatient Endoscopy Services
7 - Concord Imaging Center
60 Commercial Street Suite 101ConcordNH03301Imaging Services
8 - Concord Obstetrics and Gynecology
189 North Main StreetConcordNH03301Outpatient Physician Services
9 - Concord Surgical Associates
246 Pleasant Street Suite 205ConcordNH03301Outpatient Physician Services
10 - Capital Orthopaedic Srgry Ctr-Derry
14 Tsienneto Road Suite 100DerryNH03836Outpatient Surgery
11 - Concord Hosp Family Health Center
250 Pleasant StreetConcordNH03301Outpatient Physician Services
12 - Concord Pulmonary Medicine
248 Pleasant Street Suite G100ConcordNH03301Outpatient Physician Services
13 - Center for Sports Med & Ortho Rehab
264 Pleasant StreetConcordNH03301Rehabilitation Services
14 - Rehabilitation Services at Warner
2 East Main StreetWarnerNH03278Rehabilitation Services
15 - Rehab Serv Fam Health Ctr-Hillsboro
15 Antrim RoadHillsboroNH03244Rehabilitation Services
16 - Concord Family Medicine
18 Foundry Street Suite 201ConcordNH03301Outpatient Physician Services
17 - Internal Medicine
248 Pleasant Street Suite 2800ConcordNH03301Outpatient Physician Services
18 - Concord Hospital Sleep Center
18 Foundry Street Suite 103ConcordNH03301Outpatient Sleep Services
19 - Concord Plastic Surgery
246 Pleasant Street Suite 210ConcordNH03301Outpatient Physician Services
20 - Concord Hospital Urgent Care
60 Commercial StreetConcordNH03301Walk-in Urgent Care
21 - Concord Hospital Cardiac Ass-Laconia
85 Spring Street Suite 2A1LaconiaNH03246Outpatient Physician Services
22 - Penacook Family Physicians
4 Crescent StreetPeacockNH03303Outpatient Physician Services
23 - Neurology Associates
248 Pleasant Street Suite G200ConcordNH03301Outpatient Physician Services
24 - Family Tree Healthcare Hopkinton
19 Farrington Corner RoadHopkintonNH03229Outpatient Physician Services
25 - Family Care Of Concord
248 Pleasant Street Suite 2600ConcordNH03301Outpatient Physician Services
26 - Pleasant Street Family Medicine
280 Pleasant StreetConcordNH03301Outpatient Physician Services
27 - Epsom Family Medicine
1990 Dover RoadEpsomNH03234Outpatient Physician Services
28 - Rehab Serv CH Med Off-Horseshoe Pnd
60 Commercial Street Suite 403ConcordNH03301Rehabilitation Services
29 - Rehab Serv CH Med Off-North
18 Foundry Street Suite 101ConcordNH03301Rehabilitation Services
30 - CardiacThoracic Surgery
246 Pleasant StreetConcordNH03301Outpatient Physician Services
31 - Family Physicians of Pembroke
121 Pembroke StreetPembrokeNH03275Outpatient Physician Services
32 - Concord Hosp Fam Hlth Ctr-Hillsboro
15 Antrim RoadHillsboroNH03244Outpatient Physician Services
33 - Rehab Serv CH Med Off-East
1990 Dover Road Suite 201EpsomNH03234Rehabilitation Services
34 - International Travel Clinic
246 Pleasant Street Suite 104ConcordNH03301Outpatient Physician Services
35 - Internal Medicine at Horseshoe Pond
60 Commercial Street Suite 401ConcordNH03301Outpatient Physician Services
36 - Concord Imaging Center
1990 Dover RoadEpsomNH03234Imaging Services
37 - Family Tree Healthcare Warner
2 East Main StreetWarnerNH03278Outpatient Physician Services
38 - Rehabilitation Services at Pembroke
121 Pembroke StreetPembrokeNH03275Rehabilitation Services
39 - Family Tree Healthcare Concord
81 Hall StreetConcordNH03301Outpatient Physician Services
40 - Lab-Memorial Medical Office Building
246 Pleasant StreetConcordNH03301Outpatient Laboratory Services
41 - Concord Hosp Fam Hlth Ctr Behav Hlth
250 Pleasant Street Yeaple BuildingConcordNH03301Outpatient Counseling Services
42 - Capital Region Palliative Care & Hospice
246 Pleasant Street Suite 206ConcordNH03301Outpatient Physician Services
43 - Anti-Coag Clinic Internal Medicine
248 Pleasant Street Suite 2800ConcordNH03301Outpatient Physician Services
44 - Center for Health Promotion
49 South Main StreetConcordNH03301Health Promotion Services
45 - Lab CH Medical Off at Horseshoe Pond
60 Commercial StreetConcordNH03301Outpatient Laboratory Services
46 - Concord Hosp Fam Hlth Ctr Dntl Clinic
250 Pleasant Street Yeaple BuildingConcordNH03301Dental Services
47 - Lab CH Medical Offices-East
1990 Dover RoadEpsomNH03234Outpatient Laboratory Services
48 - Concord Family Medicine Havenwood
149 East Side DriveConcordNH03301Outpatient Physician Services
49 - Breast Care Center
248 Pleasant Street Suite 206ConcordNH03301Imaging and Counseling service
50 - Radiology Srv Fam Hlth Ctr-Hillsboro
15 Antrim RoadHillsboroNH03244Radiology Services
51 - Family Health Center Lab
250 Pleasant Street Yeaple BuildingConcordNH03301Outpatient Laboratory Services
52 - Lab Penacook Family Physicians
4 Crescent StreetPenacookNH03303Outpatient Laboratory Services
53 - Lab Heights
149 East Side DriveConcordNH03301Outpatient Laboratory Services
54 - Lab Family Tree Warner
2 East Main StreetWarnerNH03278Outpatient Laboratory Services
55 - Lab Family Physicians of Pembroke
121 Pembroke StreetPembrokeNH03275Outpatient Laboratory Services
56 - Anti-Coag Clinic Concord Fam Med
18 Foundry Street Suite 201ConcordNH03301Outpatient Physician Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and who may be faced with chronic health conditions, many of these activities also ensure access to needed health services which might otherwise not be available without subsidized or special support.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 20,039,478.
Part II, Community Building Activities:In fiscal year 2017, Concord Hospital continued its emergency preparedness initiatives by hosting a multi-agency emergency preparedness exercise to evaluate our own multi-modality response efforts. Program success was also measured by outside agency responders' ability to properly respond within the response parameters and mitigate the risk of damage, injury or fatality to the best level possible.
Part III, Line 2:The amount reported on Part III, Line 2 was derived by applying the cost to charge ratio against the amount of bad debt expense reported on Form 990, Part IX, Line 25, Column (A).Accounts Receivable: The allowance for doubtful accounts is provided based on an analysis by management of the collectability of outstanding balances. Management considers the age of outstanding balances and past collection efforts in determining the allowance for doubtful accounts. Accounts are charged against the allowance for doubtful accounts when deemed uncollectible. Charity Care: The System provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the System does not pursue collection of amounts determined to qualify as charity care, they are not reported ascommunity benefit. The amount on Line 3 is calculated by determining the revenue for all patients that have completed an application for financial assistance and only reporting the amount for those that did not complete the financial assistance process for any number of reasons and were then transferred to bad debt.
Part III, Line 3:See narrative for Part III, Line 2.
Part III, Line 4:See page 10 of the attached audited financial statements.
Part III, Line 8:The Medicare shortfall of $63,541,649 is funded through cost shifting to other payors. In addition, many of the subsidized health services reported on line 7g include some revenue and expenses from services to Medicare patients, Medicare allowable costs on line 5 were determined using the Hospital's filed Medicare cost report, which determines cost via the cost to charge ratio methodology. The Hospital has not included its Medicare shortfall as a community benefit in Part I.
Part III, Line 9b:The Hospital has a Financial Assistance policy in addition to, and complementing, the bad debt collection policy. The policy describes the Hospital's program of financial assistance for medically necessary services to individuals and families who are uninsured, underinsured, or who experience a catastrophic healthcare event and do not quality for any other state or federal assistance programs. Patient education of eligibility for assistance is described below in the statement for Part VI, Line 3.
Part VI, Line 2:Every three years, the Hospital facilitates a comprehensive community health needs assessment, engaging numerous community organizations and health partners in the process, to identify far-reaching health needs faced by people in the communities served by the Hospital. Assessment methodologies address both quantitative and qualitative data and include stakeholder interviews, focus groups, community listening sessions, web survey, written surveys, telephone surveys and analysis of various data sets. Assessment results are shared with community members and serve as the basis to develop new or expanded services in response to need. The most recent assessment covered by this tax return was completed in the tax year of 2015
Part VI, Line 3:The Hospital actively meets with all people who indicate that they do not have insurance or will have difficulty paving their obligations, to inform and work with them to understand what local programs are available to them, including how they can benefit from the Hospital's FinancialAssistance program.
Part VI, Line 4:Concord defines its Primary Service Area as 28 communities to which it has close geographic proximity and significant market share. According to the State of New Hampshire's "Concord Healthcare Service Area Regional Health Profile, 2001," the 28 communities that comprise the Hospital's PSA represent, in terms of square miles, the largest hospital service area in the State. Together, these communities cover an area of nearly 900 square miles. The Hospital serves all the residents of these towns as well as many others from across the State of New Hampshire through its regional and statewide referral for specialty care, including orthopedic, cardiology, oncology, and urological care.
Part VI, Line 5:Part I line 6A, Concord Hospital develops programs and services to address community health needs and makes investments in initiatives that align with the Hospital's core mission. A reasonable amount of Concord Hospital's community benefit investment remains in the area of charitable care to ensure that those without insurance or with limited insurance have access to needed medical care. The Hospital strives to address the needs of vulnerable populations including our low-income neighbors and other vulnerable populations. The Hospital's Family Health Centers ensure access to primary, behavioral health, and dental care for our region's most vulnerable residents, which address identified community health needs. Those achievements are at the heart of our community benefit activity. Beyond that focus are programs and services that benefit every resident and support that far reaching goal of a healthier community. The Hospital continued its efforts toward promoting the health of the community by investing its surplus funds in new medical facilities to enhance patient care, by providing funding support to Capital Region Healthcare affiliates through the Community Services Fund for programs that address identified community needs and serve vulnerable populations, and by continuing to recruit new primary care physicians to enhance access in the community.Finally, per the IRS instructions to Schedule H, Part I, the Hospital has not included its $63,541,649 Medicare shortfall as-a community benefit in Part I. However, we believe that this shortfall provides a tremendous benefit to the community in that it enables the Hospital to provide essential services to a vast number of patients who otherwise would not have access to the Hospital's care.
Part VI, Line 7, Reports Filed With StatesNH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Riverbend Community Mental HealthBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2032AddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
Recipient EIN020264383RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$294,700CashGrantAmt
Purpose Of GrantSupport to provide funding for: psychiatric care manager and psychiatric APRN, co-located care services at Concord Hospital Medical Group practices, and funds for discounts and scholarships to be awarded by RCMH for individuals in the Intensive Outpatient Therapy and Medication Assisted Therapy programs.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital works with the Concord Hospital Trust to administer grants provided from funds available through the Community Services Funds. The Trust has an open application process for those entities that meet the grant requirements, and the Trust Board approves and recommends to the Hospital Board, all recommended granting actions. The Trust provides annual monitoring of compliance with expected spending requirements and gets updates as needed.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Stevenson MD
Trustee$245,398$0$1,250$0$983$0$31,927$0$22,394$0$301,952$0$0$0
Robert P Steigmeyer
President & CEO$627,832$0$210,000$0$828$0$158,575$0$21,466$0$1,018,701$0$0$0
Bruce R Burns
Treasurer (end 11/16)$315,239$0$99,026$0$1,873$0$45,310$0$7,706$0$469,154$0$0$0
Scott Sloane
Senior VP/CFO & Treasurer$244,088$0$35,003$0$546$0$40,071$0$21,189$0$340,897$0$0$0
David Green MD
Senior VP/Chief Medical Officer$405,783$0$112,463$0$2,854$0$48,675$0$20,051$0$589,826$0$0$0
Timothy P Jones
Senior VP/Chief Operating Officer$397,022$0$98,000$0$1,548$0$0$0$21,218$0$517,788$0$0$0
Gerald Sardella MD
Physician$579,626$0$13,593$0$2,322$0$25,875$0$25,003$0$646,419$0$0$0
Todd Burdette MD
Physician$392,579$0$174,505$0$595$0$36,649$0$24,915$0$629,243$0$0$0
Wayne K Stadelmann MD
Physician$392,467$0$91,169$0$912$0$43,875$0$24,915$0$553,338$0$0$0
Charles Wicks MD
Physician$417,663$0$44,015$0$394$0$16,460$0$24,928$0$503,460$0$0$0
Adam Chodosh MD
Physician$448,421$0$74,927$0$667$0$18,000$0$25,225$0$567,240$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bRobert P. Steigmeyer, President & CEO, participated in a 457(f) plan with Concord Hospital during the fiscal year. After a three-year vesting period which began in 2014, there will be a 457(f) amount included in taxable W-2 wages for Mr. Steigmeyer reported on Schedule J, Part II, Column B(iii). This future amount will be comprised of earnings and deferred compensation that is included in Schedule J, Part II, Column C. On October 29, 2014 $78,750 was approved to be credited into Mr. Steigmeyer's 457(f) plan account for fiscal year ended September 30, 2014. This payment will vest in 2017 and will therefore be included in Mr. Steigmeyer's 2017 W-2. As this will be reportable compensation in 2017 it will be reflected on the Hospital's Form 990 filing in Schedule J, Part II, Column B(iii) next year. There were additional contributions to Mr. Steigmeyer's 457(f) plan for fiscal years ended September 30, 2015, 2016, and 2017 of $115,000, $120,000, and $125,000, respectively. Each contribution plus earnings will be reported in Mr. Steigmeyer's W-2 after a three-year vesting period.
Part I, Line 7Incentive Pay: The primary purpose of the incentive pay is to recognize the quality of the performance of the CEO, CFO, COO, and CMO during the preceding fiscal year. The amount of the incentive pay bonus is based on performance relative to strategic goals and measurable objectives. When the executive's performance excels, the incentive pay should reflect the accomplishment and allow for the sum of base salary and incentive pay to reach as high as the 75th percentile of peer institutions.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NH Health & Education Facilities Authority
A020279866644614K652011-03-01$50,095,322Facility Improvements/Renovations000
NH Health & Education Facilities Authority
B020279866644614Z852013-02-01$48,631,000Facility Improvement Project & Advance Refund Series 2001 NHHEFA Bonds000
NH Health & Education Facilities Authority
C0202798662013-04-01$32,421,000Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmt
A$50,095,322$544,8912012Yes (1)0Yes (1)Yes (1)
B$48,631,000$561,4392014Yes (1)0Yes (1)Yes (1)
C$32,421,264$64,50320130Yes (1)Yes (1)Yes (1)$31,800,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Naxis Funding Corp
A000Yes (1)00Yes (1)1.80000000000000Yes (1)
(no name)
B000Yes (1)0000Yes (1)
(no name)
C000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 03/17/2016 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 01/31/2016 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 06/30/2016ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital.
Form 990, Part VI, Section A, line 7aThe Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member.
Form 990, Part VI, Section A, line 7bThe affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: -Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. -Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. -Any changes in the Hospital's non-profit status shall be subject to approval by the Member.
Form 990, Part VI, Section B, line 11bThe 990 is reviewed in detail with the Audit Committee of the Board of Trustees. All board members receive a copy of the 990 to review prior to filing the report.
Form 990, Part VI, Section B, line 12cEach Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part VI, Section B, line 15The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital and its subsidiaries (collectively the "Hospital") is an important responsibility of the Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer, Chief Financial Officer, and Chief Medical Officer as proposed by the CEO. The Compensation Committee shall present its report of the CEO's annual performance to the Board for its further input and consideration. The Compensation Committee shall also make its recommendation to the Board concerning the CEO's compensation. Finally, the Compensation Committee shall make its recommendation to the Board concerning the compensation of the COO, CFO, and CMO. The Board shall review the recommendations of the Compensation Committee as to the compensation of the Hospital's CEO, COO, CFO, and CMO and shall set their compensation as the Board deems appropriate. Although the Hospital continues to value the role of Capital Region Health Care Corporation ("CRHC") and the Hospital's participation in that organization, the Board acknowledges that it is not the responsibility of the Board to evaluate or set the compensation of the Chief Executive Officer of CRHC. Neither is it the role of the Board of Trustees of CRHC to evaluate, or set the compensation of, the Hospital's CEO. Accordingly, CRHC's Board of Trustees is not involved in evaluating or setting the compensation of the Hospital's CEO. The Board acknowledges that the Hospital's CEO may also serve as the Chief Executive Officer of CRHC and that the Hospital may charge CRHC for these services. The Board may consider the comments of the Board of Trustees of CRHC, as outlined herein, when deemed relevant in evaluating the performance of the Hospital's CEO. The Board directs that the Compensation Committee and the Board itself, in their respective undertakings of recommending and setting the compensation of the Hospital's CEO, COO, CFO, and CMO, avoid conflicts of interest and be guided by the "rebuttable presumption of reasonableness" regulations under the so-called "Excess Benefit Transaction" provisions of the Internal Revenue Code ("IRC"). The Board authorizes the Compensation Committee to use such financial and advisory (e.g., legal counsel, consultant) resources as it reasonably deems appropriate to fulfill its duties in evaluating the CEO's performance and in making its recommendations to the Board regarding compensation for the CEO, COO, CFO, and CMO.
Form 990, Part VI, Section C, line 19Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted on the Hospital's web site, www.concordhospital.org. In addition to this, the Hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part XI, line 9:Pension Actuarial Loss 13,097,735. Equity Transfer from Affiliate 7,004,123.
Form 990, Part XII, Line 2cThere was no change in the process for oversight of the audit and compilation of financial statements for the fiscal year. The Board has a finance committee, which reviews the financial statements monthly. There is also an audit committee of the Board, which reviews the annual audit process and the selection of the independent accountant. The same independent firm of accountants performed the audit for the fiscal years ending 9/30/16 and 9/30/17.
Form 990, Part VII:Dr. David A. Stevenson is listed in Form 990, Part VII as a voting member of the Hospital's governing body. He was also employed by the Hospital as full-time physician and received compensation and benefits related to his services to the Hospital in his capacity as a physician. None of his compensation and benefits reflects remuneration in his capacity as a board member of the Hospital. In accordance with IRS instructions, he has not been listed as an independent board member in Form 990, Part VI, Line 1b.
Form 990, Part IX, Column D:Although the Hospital is reporting contribution income on Form 990, Part VIII, Line 1 it is not reporting any fundraising expenses on Form 990, Part IX, Line 25, Column D. All philanthropic activity is conducted by the Hospital's affiliate, Concord Hospital Trust. All contribution revenue is first received by the Trust which is then granted to the Hospital. All fundraising expenses related to this solicitation of contribution revenue is reported on Concord Hospital Trust's Form 990, Part IX, Column D.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Capital Region Health Care Corporation
250 Pleasant StreetConcordNH03301020222123Promote comprehensive health service systemNH501(c)(3)Line 12a, IN/A0
Capital Region Health Physicians Group
250 Pleasant StreetConcordNH03301020481705InactiveNH501(c)(3)Line 10Yes (1)Concord Hospital
Capital Region Health Ventures Corp
250 Pleasant StreetConcordNH03301020438264Provide medical care to communityNH501(c)(3)Line 12b, IIYes (1)Concord Hospital
Capital Region Health Care Development Corporation
250 Pleasant StreetConcordNH03301020429749Support Concord Hospital & other affiliatesNH501(c)(2)Yes (1)Concord Hospital
Concord Regional Visiting Nurse Association Inc
PO Box 1797ConcordNH033021797020222122Home health care & hospice servicesNH501(c)(3)Line 100Capital Region Health Care Corp
Riverbend Community Mental Health Inc
3-5 North State StreetConcordNH033022032020264383Multi-service teamNH501(c)(3)Line 7N/A0
CHDHC Inc
250 Pleasant StreetConcordNH03301020519680Provide health services to Concord communityNH501(c)(3)Line 10Yes (1)Concord Hospital
Concord Hospital Trust
250 Pleasant StreetConcordNH03301260378710FundraisingNH501(c)(3)Line 12a, IYes (1)Concord Hospital

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Concord Imaging Center LLC
2 1/2 Beacon StreetConcordNH03301020436605Provide radiology services to communityNHN/A
Capital Orthopedic Surgery Center
250 Pleasant StreetConcordNH03301020522860Provide medical care to communityNHN/A
Concord Ambulatory Surgery Center LLC
60 Commerical StreetConcordNH03301201184704Provide medical care to communityNHN/A
Concord Endoscopy Center LLC
60 Commerical StreetConcordNH03301201184756Provide medical care to communityNHN/A
Concord Elliot ACO LLC
1 Elliot WayManchesterNH03103454803675Accountable Care OrgNHElliot Hospital of the City of ManchesterRelated$500Yes (1)0.16670

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtOwnershipOwnershipPct
Capital Region Health Services Corporation
250 Pleasant StreetConcordNH03301020428631Medical servicesNHN/AC0
Capital Region Primary Care Corporation
250 Pleasant StreetConcordNH03301020495275InactiveNHCYes (1)Concord Hospital1.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A$1,441,707Actual per books
Capital Region Health Care Corp
A$92,153Actual per books
Capital Region Health Care Corp
B$122,521Actual per books
Capital Region Health Care Ventures Corp
C$6,506,000Actual per books
Capital Region Health Care Services Corp
C$611,699Actual per books
Capital Region Health Care Development Corp
K$2,995,866Actual per books
Capital Region Health Care Development Corp
O$544,296Actual per books
Capital Region Health Care Ventures Corp
O$227,795Actual per books
Concord Hospital Trust
O$632,617Actual per books
Capital Region Health Care Ventures Corp
Q$332,537Actual per books
Concord Hospital Trust
Q$500,941Actual per books

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule R, Part II:Two tax-exempt affiliated entities listed in Schedule R, Part II, Capital Region Physician Group, Inc. and CH/DHC, Inc., were legally dissolved during the fiscal year.
Schedule R, Part III:In accordance with IRS instructions, the partnerships listed in Part III are being reported due to their control relationship with Capital Region Health Ventures Corp and the Hospital's control relationship with Capital Region Health Ventures Corp. During the 2016 tax year, the hospital system invested in Granite Healthcare Asset Holding Company, LLC, a joint venture with several hospital facilities. The Hospital's investment in this entity does not otherwise meet the disclosure requirements for Schedule R, Part III.

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